Provider Demographics
NPI:1336700376
Name:NEW HOPE FAMILY DENTISTRY P.C.
Entity Type:Organization
Organization Name:NEW HOPE FAMILY DENTISTRY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:PAUGH
Authorized Official - Last Name:PARKS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:256-723-8833
Mailing Address - Street 1:5487 MAIN DR
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:AL
Mailing Address - Zip Code:35760-9758
Mailing Address - Country:US
Mailing Address - Phone:256-723-8833
Mailing Address - Fax:
Practice Address - Street 1:5487 MAIN DR
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:AL
Practice Address - Zip Code:35760-9758
Practice Address - Country:US
Practice Address - Phone:256-723-8833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-20
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL300014023Medicaid